NUMBER Task #1

 RAFT Task 1 Composition


Western Governors University

Business Summary

Conformity Status

Nightingale Community Clinic (NCH) supplies quality wellness services and leadership. Compassionate and cost effective service inside the lines of treatment and prevention certainly are a priority focus. The hospital strives to uphold the vision of being the hospital of choice intended for patients, employees, physicians, volunteers, and the community.

The hospital, according to The Joint Commission Specifications, ensures each of our patients and the community will be protected by following guidelines established by The Joint Commission. Complying recommendations consist of four areas…Information Management, Infection Control, Communication and Medication Management. By focusing on these types of compliance suggestions, Nightingale Community Hospital concentrates on patient protection and providing the highest quality of care offered.

Infection control is a priority emphasis area. The goal is to protect everybody who enters the hospital establishing. Infection control entails surveillance and identification, avoidance and charge of infections for a lot of patients, personnel, and visitors within the medical center setting. Infection control involves everybody who goes in the hospital and everything departments and employees within the hospital setting.

The table provides the 4 Joint Commission payment standards that is to be the focus of the report. The next planned check out for Nightingale Community Medical center by The Joint Commission is at 13 months. We is going to review current compliance specifications that are achieved, as well as, the compliance requirements that need to be increased.

Joint Commission payment Standard

Common Description

IC. 02. 01. 01

A healthcare facility implements the infection avoidance and control program, which include surveillance, to minimize, reduce, or perhaps eliminate the risk of infection. NPSG. 07. 01. 01

Abide by either the existing CDC (Centers for Disease Control and Prevention) hand hygiene recommendations or the current WHO (World Health Organization) hand hygiene guidelines. NPSG. 07. goal. 01

Put into action evidence-based procedures to prevent wellness care–associated infections due to multi-drug resistant organisms in serious care hospitals. This need applies to, although not limited to, epidemiologically important creatures such as MRSA (methicillin-resistant staphylococcus aureus), CDI (clostridium difficile), VRE (vancomycin-resistant enterococci), and multi-drug tolerant gram-negative bacterias. Use tested guidelines to prevent infections which have been difficulty to deal with. NPSG. '07. 04. 01

Implement evidence-based practices in order to avoid central line–associated bloodstream attacks. This necessity covers short- and long term central venous catheters and PICC (peripherally inserted central catheter ) lines. Make use of proven suggestions to prevent illness of the bloodstream from the central lines. NSPG. 07. 05. 01

Put into action evidence-based methods for protecting against surgical web page infections. Work with proven suggestions to prevent disease after medical procedures.

The following areas will need to be watched, due to present deficiencies: Surgical site illness (SSI) rate following total knee alternative was higher than the following SSI rates for the same procedure by comparable hospitals. SSI charge following standard surgery procedures was above the same kind of procedures at comparable clinics.

Further analyses were performed. NCH patient statistics were accustomed to identify high risk patients using the NNIS risk index. Sufferers at highest risk for SSI (NNIS risk index of two or greater) showed a tremendous increase of SSI issues and had nearly two-times higher rate of SSI following general surgical procedure at Nightingale Memorial Medical center when compared to the highest risk sufferers undergoing general surgery at comparable private hospitals.

Infection Control information show deficiencies with Central Line -Blood Stream Attacks (CL-BSI). The interest rate of infection increased in March. A frequent rolling level (rolling charge is...

Sources: Bleasdale, S. C., Trick, W. Elizabeth., Gonzalez, We. M., Lyles, R. D., Hayden, Meters. K., and Weinstein, R. A., Performance of chlorhexidine bathing to lessen catheter-associated blood vessels infections in medical intensive care product patients. Mid-foot Intern Med. 2007; 167(19): 2073-2079. doi: 10. 1001/archinte. 167. 19. 2073

Dutcher, K., Lederman, E., Brodine, S., and Patel, T., Impact from the 2013 revised centers for disease control and reduction central line–associated bloodstream illness (CLABSI) monitoring definition in inpatient hospital CLABSI rates: Is it enough?

Infection Control and Hospital Epidemiology Vol. thirty four, No . 9 (September 2013), pp. 999-1001 Published simply by: The College or university of Chi town Press retrieved about August 25, 2013

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